Beaumont Medical Group- Specialty Services

NPI #1083415640 in Grosse Pointe, Michigan

Provider Information

NPI Number: 1083415640
Entity Type: Organization
Organization Name: Beaumont Medical Group- Specialty Services
Primary Specialty: Internal Medicine
Enumeration Date: Mar 20, 2025
Last Updated: Mar 20, 2025

Practice Location

Address: 17000 KERCHEVAL AVE
City: Grosse Pointe
State: Michigan
ZIP Code: 48230-1570
Phone: (313) 640-2424

Authorized Official

Name: MATTHEW E COX
Title: CFO
Phone: (616) 295-4264

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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